Page 52 - ELT_1st September 2020_Vol 373_Part 5
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T62 EXCISE LAW TIMES [ Vol. 373
Countries visited over the past two years as declared by owner (give
dates) : ………………………………………………………………………………
4. Sanitary Information
I, the undersigned, Official Veterinarian hereby certify that the dog(s)
described above and examined on this day :
(a) Show/shows no clinical sign of any disease including rabies, canine
distemper, parvo virus infection, leptospirosis, Infectious Canine
Hepatitis, Scabies and Leishmaniasis.
(b) Has/have been vaccinated for rabies (in case it is more than three
months of age) Canine distemper, parvo virus infection, leptospirosis
within the time limit recommended by the vaccine manufacturer
licensed and approved by the exporting country (name of the vaccine,
batch number, and the date of vaccination must be shown on the
passport/pet book/health card of dog(s) as the case may be).
(c) Has/have been under treatment (if any) with following details
(i) Type of treatment
(ii) Type of medication
Issued at ……….. on ……….. Official Stamp :
Signature ………………………………………
Name and address of Official Veterinarian
Registration No. : ……………………………..
Email : ………………………………………….
Contact no. …………………………………….
Annexure 2
Veterinary Health Certificate for Import of Pet Cats into India
(As per Annex 2.1.1 of above said O.M. dated 15th July 2020 by DAHD)
Owner
Name and Address of the owner(s) of the cat(s) : …………………………………….
Contact no. : : ……………………………………………………………………………..
E-Mail : ………………………………….…………………………………………………
Description
Breed of Cat(s) : ………………………………….……………………………………….
Age or date of birth : ………………………………….………………………………….
Sex : ………………………………….…………………………………………………….
Colour : ………………………………….………………………………………………...
Coat type and marking/Distinguish mark : …………………………………………..
Identification number : ………………………………….………………………………
EXCISE LAW TIMES 1st September 2020 52

